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1639342546
BLAKE LEVINE
PLAINVIEW, NY
NPI
1639342546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 071709)
Enumeration Date
2008-04-11
Last Update Date
2008-04-11
Business Address
Mr. BLAKE LEVINE CSW
146A MANETTO HILL RD SUITE 207
PLAINVIEW, NY 11803-1323
Phone number: 646-496-7183
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Mailing Address
Mr. BLAKE LEVINE CSW
146A MANETTO HILL RD SUITE 207
PLAINVIEW, NY 11803-1323
Phone number: 646-496-7183
Copy
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